Evidence map›Paper›PMID 39941738›Full record

ArticleCancers2025

Secondary Resections and Survival After Breast-Conserving Surgery in Breast Cancer Patients: A Cancer Registry-Based Cohort Study.

Mikhail Ovchinnikov, Alexander Kluttig, Elke Burger, Saskia Thies, Maria Elena Lacruz, Andrea Schmidt-Pokrzywniak, József Mészáros, Holm Eggemann, Atanas Ignatov

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Mikhail OvchinnikovDepartment of Plastic, Aesthetic and Hand Surgery, Otto-von-Guericke University, 39120 Magdeburg, Germany.
Alexander KluttigClinical Cancer Registry Sachsen-Anhalt, 06112 Halle, Germany.
Elke BurgerClinical Cancer Registry Sachsen-Anhalt, 06112 Halle, Germany.
Saskia ThiesClinical Cancer Registry Sachsen-Anhalt, 06112 Halle, Germany.
Maria Elena LacruzClinical Cancer Registry Sachsen-Anhalt, 06112 Halle, Germany.ORCID 0000-0003-2036-3039
Andrea Schmidt-PokrzywniakClinical Cancer Registry Sachsen-Anhalt, 06112 Halle, Germany.
József MészárosDepartment of Obstetrics and Gynecology, Otto-von-Guericke University, 39108 Magdeburg, Germany.
Holm EggemannDepartment of Obstetrics and Gynecology, Clinic Magdeburg, 39108 Magdeburg, Germany.
Atanas IgnatovDepartment of Obstetrics and Gynecology, Otto-von-Guericke University, 39108 Magdeburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast cancer remains the most common malignancy in women, and breast-conserving surgery (BCS) with adjuvant radiotherapy is a standard treatment for early-stage disease. This study assessed the impact of positive surgical margins and secondary surgeries on local recurrence rates and patient outcomes. In this retrospective tumor registry-based study, 24,450 women were eligible for analysis. Of them, 18,082 underwent primary BCS only, 4836 underwent re-excision by BCS, and 1532 underwent re-excision by mastectomy following primary BCS. Our findings indicate that even though re-excision procedures were associated with higher local recurrence rates (HR 1.19; 95% CI 1.08-1.33), they did not significantly affect long-term survival (HR 0.98; 95% CI 0.87-1.10). This underscores the need for meticulous surgical practices to achieve clean margins initially, and suggests that the choice of surgical intervention should consider individual tumor characteristics and patient preferences to optimize oncological and aesthetic outcomes.

Indexed as

breast conservative surgeryfemale breast cancerR1 tumor resectionre-excision

Identifiers

PMID39941738
PMCPMC11815734

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.